Active NPI
Phil Michael Freudenberger Jr., LMT
- Mechanotherapist
- Colebrook, NH
National Provider Identifier
1629321179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 1750M
- Practice address
- 40 Brandy Lee LN
Colebrook, NH 03576-3030 - Phone
- (603) 237-8436
- NPI assigned
- Oct 22, 2012
- Last updated
- Oct 22, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 1750M | NH | Primary |
Addresses
Primary practice location
40 Brandy Lee LN
Colebrook, NH 03576-3030
Mailing address
40 Brandy Lee LN
Colebrook, NH 03576-3030
Phone (603) 237-8436
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1750M | NH | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350864000000",
"number": "1629321179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 BRANDY LEE LN",
"city": "COLEBROOK",
"state": "NH",
"postal_code": "035763030",
"telephone_number": "603-237-8436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 BRANDY LEE LN",
"city": "COLEBROOK",
"state": "NH",
"postal_code": "035763030",
"telephone_number": "603-237-8436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREUDENBERGER",
"first_name": "PHIL",
"middle_name": "MICHAEL",
"name_suffix": "Jr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-22",
"last_updated": "2012-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "NH",
"license": "1750M",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colebrook, NH
- Enlighten Nutrition & Wellness, LLC
- Expressmed, LLC (North Country Medical and Wellness)
- Margaret R Fitzgerald, ANP
- John J Fothergill, M.D.
- Amy Elizabeth Frank, BA
- Robert William Gooch Jr.
- John Carmelo Gramuglia, LICSW
- Jill Gregoire, RN, CEN, TCRN, CCRN
- Deborah Ann Hamel, WAIVER
- Sharon Heard-McKnight
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.